Identifying Laboratory Abnormalities and Radiological Findings in a Medical Condition
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Questions and Answers

What is the purpose of Gerota's fascia in relation to the kidneys?

  • To aid in the removal of waste products from the kidneys
  • To provide a transperitoneal approach to the kidneys
  • To separate the kidneys from the adrenal glands
  • To assist in preventing tumor invasion into surrounding structures (correct)
  • What type of protection does Gerota's fascia provide in cases of renal trauma or spontaneous renal hemorrhage?

  • Skeletal protection
  • Immune protection
  • Renal and hemodynamic protection (correct)
  • Neural protection
  • What is the commonality of laboratory abnormalities in cases of retroperitoneal fibrosis?

  • Present in all cases
  • Present in only one-third of cases
  • Present in about two-thirds of cases (correct)
  • Not a significant diagnostic indicator
  • Which muscle borders the kidneys posterolaterally?

    <p>Quadratus lumborum muscle</p> Signup and view all the answers

    Which organ borders the left kidney anterolaterally?

    <p>Spleen</p> Signup and view all the answers

    What is the primary purpose of a biopsy of the retroperitoneal mass?

    <p>To exclude malignancy</p> Signup and view all the answers

    What is the anatomic structure that may be accessed through a transperitoneal approach during certain urologic operations?

    <p>All of the above</p> Signup and view all the answers

    What is the most common treatment approach for retroperitoneal fibrosis?

    <p>Steroid therapy</p> Signup and view all the answers

    What is the primary indication for open or minimally invasive bilateral ureterolysis with intraperitonealization or omental wrapping of the ureters?

    <p>Failed medical treatment</p> Signup and view all the answers

    Which of the following is NOT a structure that generally requires urologic management?

    <p>Spleen</p> Signup and view all the answers

    What is the approximate failure rate of ureteral stenting in cases of ureteral obstruction secondary to tumor?

    <p>One-half of cases</p> Signup and view all the answers

    What is the purpose of contrast enhancement on CT scan, MRI, and PET scan in retroperitoneal fibrosis?

    <p>To monitor disease activity and assess response to treatment</p> Signup and view all the answers

    What is the primary goal of renal trauma management?

    <p>Preservation of renal function</p> Signup and view all the answers

    What is the gold standard test for diagnosing and staging a renal injury?

    <p>CT scan with IV contrast and delayed images</p> Signup and view all the answers

    What is the term for the imaging study that includes delayed contrast imaging to delineate the upper urinary tract collecting system?

    <p>CT urogram</p> Signup and view all the answers

    In what type of patients may renal artery embolization be an option?

    <p>Those who have failed conservative therapy</p> Signup and view all the answers

    What is the role of angioembolization in renal trauma management?

    <p>To further increase nonoperative management</p> Signup and view all the answers

    What is a criterion that would mandate renal imaging?

    <p>The presence of gross hematuria</p> Signup and view all the answers

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